Saturday, January 16, 2010

Breastfeeding and Cystic Fibrosis

I can't claim to have a lot of experience on the topic of breastfeeding in relation to Cystic Fibrosis, but recently, a super mom out there, Kacie, gave a great interview that at least partly spoke on the subject. The complete interview is certainly worth the read and I highly encourage you guys to check out the full transcript by clicking here.

Wendy: Since you were exclusively breastfeeding Lucy, did the diagnosis affect this? What did your doctors recommend and what did you do?


Kacie: I had always known that I was going to exclusively breastfeed my children so the decision was made before Lucy was even born. When Lucy arrived, and because she had the blockages, I was not able to nurse her for 2 whole weeks. Imagine my frustration and heart ache to not be able to nurse my child when she cried for me! She never ingested a single thing until 2 weeks old, waiting for her insides to heal up. She was given fluids and nutrients through an IV while I pumped, pumped and pumped, and saved every last drop of milk I could get. I made the NICU nurses write in huge, red lettering, "MOTHER'S BREAST MILK ONLY!" in her file so she would never be given formula. The very first thing that went into Lucy's repaired intestines was exactly 5ml of my milk. She was not to be given more than 5-10ml at a time to insure that the surgery went well. After 2 days of "testing" her new tummy out, we were finally, at last, able to nurse. I will never forget the first time either! She latched on like she had done it before. We were off and running. The doctors were very pleased that I was so adamant about breastfeeding. The recommendations about switching to formula came later. Lucy was not gaining as much as she should have been gaining according to the AAP weight charts. When she dipped below 50th percentile, it was mentioned that we may have to supplement with formula for added calories. I told them that giving her formula would never happen in a million years! I went home that day and started nursing her around the clock like normal, but I added in feedings as well, even when she really didn't even have hunger cues. I became a human pacifier because I refused to put her on formula. Extra nursing worked. She gained enough weight to get above the 50th percentile so Lucy's nutritionist never mentioned formula to me again.


Wendy: How has breastfeeding proved to be a great help in relation to Lucy's diagnosis and her illness in general?

Kacie: I make jokes that my boob has been my best friend and still is! Lucy has been in and out of doctors offices her whole life. Her life is very chaotic and stressful because of CF. More stress than a child should have to go through: blood tests, needles, throat cultures, wearing a vest that shakes her chest and taking up to 9 different medications a day. By nursing Lucy on demand for the last 2 years, we have created a safe place for her to go where she knows everything will be okay. Nursing is her neutral place, a safe place, the quiet place among the storm. I am more in tune with her and her physical and emotional needs because of our nursing relationship. Nursing her for this long has helped her immune system. She is sick less often and when she does get sick it is very short-lived. If I ever get a cold or illness, she has never gotten it from me. She is receiving the antibodies from me that are needed in fighting the infection. I really cannot think of one negative thing to say about breastfeeding Lucy.

Read the full interview at Aruban Breastfeeding Mamas

So what do you guys think? Does/did breastfeeding create a "safe place" for your CF child? Would you recommend breastfeeding to the mothers that are out there reading this?

Comments (14)

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Huge Kudos to this Mum for her dedication to doing what is normal and the best for her daughter..Breastfeeding!!! Especially for Special Babies, breastfeeding is so important and in the face of health care practitioners pushing the formula, it can be hard to remain dedicated...Well done!
Breast feeding is very beneficial and if you can, you should. I know it can be hard and is a HUGE commitment but I have really liked it. I feel like I'm starting Ben out on the right foot and giving him a leg up. The antibodies he gets cannot be found in any formula. However, I don't think mom's should be made to feel like they have to breast feed or they're a bad mom if not. Sometimes it just doesn't happen but I know it was really important for me to give to Ben and I'm glad I stuck with it. I'm hoping to make it to a year which is only 1 1/2 more months. I'm really proud of myself!
Kerry East's avatar

Kerry East · 794 weeks ago

I was really looking forward to breastfeeding my baby. It lasted for a few months, but I was finding it really difficult to get her zantac, vitamins, salt, and zinc in. I was not going to squirt those all down her throat because they tasted nasty and I thought it was just too much. My only other option was to put them in her bottles. I tried reseverving breast milk and would try a couple bottles a day loaded with salt and meds, but in the end, I needed to spread out the salt and meds between all her bottles so that she would drink them, and she caught up with my supply of breastmilk. I learned that it's difficult keeping up with the pumping when I also have a 2 year old running around. Plus going back to work adds even more difficulty. So I think everyone has to do what works for them! Kuddos to those moms out there that are able to make it work!
I nursed both my kids (one w/CF one w/o) for a long time. It worked for us. I feel like both my kids are quite healthy despite one having CF. Is this because of breastfeeding? I like to think so. It did add in some formula after about 6 months or so because again, it's what worked for our family. Shortly after my son was diagnosed I met with his dietician. She said to me that if I wanted to continue breastfeeding she would support me and find ways to make it work. She also said that if it didn't work and I needed to stop or supplement that my son would be okay. I can't tell you how much that meant to me. She knew how important it was to me to breastfeed but that I was also exhausted and scared and overwhelmed. By her supporting me and letting me know I'm not a failure if this doesn't work was such a blessing.
I breast fed my son with CF for over 2 years. He had a blockage as well when he was born along with some other complications that kept him in the NICU for 7 1/2 weeks. I pumped all that time and was bound and determined to nurse him. The doctors did not want me to, they explained to me that CF children have a hard time digesting their food. After they told me that I knew I would breast feed. I believe that I was so strong in my conviction because he was my third child. I knew what to expect since I had already nursed my first two. I am convinced he was as healthy as he was because of the nursing. It worked out so well for us, this was 16 years ago and I can only hope that the CF medical community is more supportive of nursing now than they were then!!!
This is a great story, thank you for post. I have CF and was able to nurse my daughter for 2 whole years. She herself has never had a drop of formula. Breastmilk is invalueable to human health. Its awesome to have a GUY post about something like this.

THANKS!
I nursed both of my little cfers for over a year. But I have to say that it doesn't always help them from getting sick. My youngest with CF (17 months) got sick the most with colds, ear infections, etc. I nursed her exculsively and never used formula. I loved the bonding and experience too! I wish I was still nursing but it was time to end it. Also, my youngest has had more psuedomonas then the older Cfer. I am a huge advocate for breastfeeding but also think that we shouldn't look down on mothers who formula feed their CF children.
This post was like reading my own story! (well, until I got to the nursing for two years part. I only nursed for 9 months) I remember pumping until he was allowed to eat after his bowel surgery and waiting for the day I could feed him just like any other mom. He is now a strapping, healthy 10 year old boy. Barring regular CF stuff and severe sinus disease, his classmates are sick more than he is! He rarely suffers from a cold or virus, and his BMI has never dropped below the 65th percentile. His lungs are soooooooo strong. For the delicate digestive system of a CF baby, who would ever consider formula to be easier to digest than God given breast milk?!?!?!
I did not find out that my children had Cystic Fibrosis until 2 years ago. My son Jack was 5 at the time and Allie was 21/2. Jack nursed for 9 months and stopped on his own. He was a 8 weeks early so he was in the NICU for 16 days. I pumped the whole time and he was given breastmilk and formula (as needed) until he was able to come out from the incubator (sp?) and I was able to nurse him. He stopped on his own after 9 months. Allie on the other hand nursed until she was 1 month shy of being 3 years old. My sister is a nurse and breast feeding counselor. I never intended to nurse, but bc she pushed me to it, I did and I am glad that I did. It was a wonderful bond. There are so many benefits for the baby and the mother when it comes to breastfeeding. Allie was in the 90th percentile until she hit 9 months old! Also, the temperature is always right, no warming up or refrigerating bottles. It worked for us, but I too would never come down on a woman bc she chose NOT to breastfeed,
I was 10 lbs 14 oz when born in 1977, I wasn't diagnosed till 2yrs. My mom breastfed for a year with me. I never had any bowel obstructions as an infant and my mom only noticed that I wanted to be fed A LOT. Doctors advised against feeding me whenever I wanted, thought I would get 'too big! or 'spoiled'' ha! I am glad my mom didn't listen and I RARELY got colds all through school and NEVER have had an ear infection.
Thank you Ronnie for posting my interview! What an amazing guy you are to help get the breastfeeding word out! Along with CF awareness, I am very passionate about breastfeeding education (going to school for my RN and Lactation Consultant), and believe that every child has the right to the best food source on earth for humans. I am so proud of all the "Milky Mamas" out there who have gone the extra mile to nurse their children, CF or not. Breastfeeding is certainly not the easy route, with treatments and other medications on top of household chores, work and school, but no on can really say that breasfeeding is not what is best. I, personally, thought nursing Lucy was so much easier to manage. No measuring formula, no bottles to wash, no warming to the perfect temperature, no waiting. I had a huge freezer supply from our time in NICU, and used some everyday in a bottle for her AquADEKs and salt. Thanks again Ronnie for the breastfeeding shout out! :)
I breastfed my daughter Caroline, who has CF, for a year. She was at her healthiest weight percentile during this time and was able to avoid colds, ear infections etc. My mother-in-law is a lactation consultant so I was fortunate enough to have all the help I needed. In the end, it is the parent's choice, but I don't think a doctor should ever tell you not to breastfeed because your child has CF.
Kelly Omahen's avatar

Kelly Omahen · 791 weeks ago

Breast milk is the easiest thing for babies to digest, and it contains immunities to protect against disease. Given these facts, it doesn't make sense that doctors are not more supportive of it for CF babies! I had to "disobey" our dietitian who wanted us to give my daughter bottles and formula. Instead, I nurse her often and long, give extra enzymes when switching sides, and I am eating a high calorie diet so there are more calories in my milk. It didn't do anything for my figure but my baby is thriving and her doctors are amazed!
Yes i am fully agree with you.. Breastfeed is very healthy for children.... This is good information you shared with everyone.
Tummy Tuck in Chandigarh

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